Provider Demographics
NPI:1013227479
Name:DINH, ANTOINETTE KIM
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:KIM
Last Name:DINH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 SAN ANTONIO PL
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-1606
Mailing Address - Country:US
Mailing Address - Phone:408-891-5056
Mailing Address - Fax:
Practice Address - Street 1:2130 SAN ANTONIO PL
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-1606
Practice Address - Country:US
Practice Address - Phone:408-891-5056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program